New 
Clinical Review Nurse - Concurrent Review
 Spectraforce Technologies | ||||||||||||||||
 United States, North Carolina, Raleigh | ||||||||||||||||
| 500 West Peace Street (Show on map) | ||||||||||||||||
 Nov 14, 2026 | ||||||||||||||||
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Position Title: Clinical Review Nurse - Concurrent Review
Work Location: Remote Assignment Duration: 6+ Months (Possibility to extend or convert ) Work Schedule: M-F 8 am to 5 pm, 1 hour lunch Work Arrangement: Remote Responsibilities: The NICU Specialty Team is a nationally aligned clinical team dedicated to ensuring medically complex neonatal members receive high-quality, coordinated, and cost-effective care through specialized utilization management and care management. The current hiring need is an extended FMLA leave. The team has a collaborative, accountable, and continuous-learning culture, with key initiatives including Mission Simplify, regionalization, multidisciplinary NICU rounds, standardized clinical workflows, enhanced training, performance analytics, and authorization-to-claims alignment. This position is part of a broader staffing and stabilization effort, with continued recruiting and backfill needs anticipated as we align resources to workload and build a sustainable team with strong NICU clinical expertise. We will have 1 additional position for Beeline that we will be entering for expansion in the LA market. NICU expertise and experience (3-5 years minimum in a Level III or IV NICU) is a must. This nurse must live in a compact state due to license requirements. Every UM nurse has expectations related to timeliness, following processes and procedures, and completing their work. We expect each nurse to perform 14 reviews on average per day and to meet timeliness requirements (usually 95%-100%) to their turn around time due to state regulations. This role is unique because it requires experience in the Neonatal ICU and for that knowledge to be utilized to ensure the best outcomes for the neonates
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